21D2186363 CLIA NUMBER - POTOMAC CARE PHARMACY

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CLIA Record

Field Name Field Value
CLIA Number 21D2186363
LAB Type Pharmacy
Facility Name POTOMAC CARE PHARMACY
Street 12103 DARNESTOWN ROAD
City NORTH POTOMAC
State MD
ZIP 20878
Phone 301 337-6430
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/16/2024
Certificate Expiration Date 6/15/2026
Facility Type Pharmacy
Lab Director FADIME SEREMET

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This page was last updated on: 9/29/2025